Individual provider Active NPI

Gregory L Meiman, M.D.

  • Family Medicine Physician
  • Cullman, AL
National Provider Identifier
1932180270
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
7112 Issued in AL
Practice address
408 Clark St NE
Cullman, AL 35055-1953
Phone
(256) 734-3202
Fax
(256) 734-4668
NPI assigned
Nov 11, 2005
Last updated
Jun 11, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 7112 AL Primary

Addresses

Primary practice location

408 Clark St NE
Cullman, AL 35055-1953

Mailing address

503 Clark St NE
Cullman, AL 35055-1921
Phone (256) 739-1759

Other identifiers 3

IdentifierTypeStateIssuer
E869OtherMEDICAR GROUP ID#
051026281OtherALBCBS OF AL
000026281MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7112ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pentastar, LLC Family Medicine CurrentSince Oct 9, 2009 Accepting new patients
Complete Family Medicine Family Medicine Past Accepting new patients
Omega Hospice, LLC PastSince Apr 30, 2003 Accepting new patients
Complete Family Practice Family Medicine Past Accepting new patients

Locations

101 2nd Ave SE
Cullman, AL 35055
Phone (256) 737-1793

503 Clark St NE
Cullman, AL 35055
Phone (256) 739-0801

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IDFDCD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213142400000",
    "number": "1932180270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 CLARK ST NE",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350551921",
            "telephone_number": "256-739-1759",
            "fax_number": "256-739-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 CLARK ST NE",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350551953",
            "telephone_number": "256-734-3202",
            "fax_number": "256-734-4668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEIMAN",
        "first_name": "GREGORY",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-11",
        "last_updated": "2008-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "7112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAR GROUP ID#",
            "identifier": "E869",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "051026281",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000026281",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.